Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review

2017 ◽  
Vol 11 (2) ◽  
pp. 137-150 ◽  
Author(s):  
Anjali Joseph ◽  
Sara Bayramzadeh ◽  
Zahra Zamani ◽  
Bill Rostenberg

Objective: This review of empirical literature focuses on the design of operating rooms (ORs) by investigating the physical environmental features of ORs associated with patient and staff outcomes. Background: Many ORs built more than 30 years ago remain operational today. However, most are inadequately designed to handle the equipment, processes, and people that a contemporary OR needs to accommodate. However, the evidence base for designing ORs has been sorely lacking, and little guidance exists on how OR design can improve safety and performance outcomes. Method: A literature search was conducted using PubMed and the university’s linked databases. The inclusion criteria included peer-reviewed journal articles that reported some aspect of the physical environment of ORs along with outcomes. The study included empirical studies as well as nonempirical best practice papers. Results: This literature review uncovered 211 articles. The main themes that emerged include OR design-related factors, ventilation, temperature and humidity, acoustical environment, lighting, and materials. Some environmental threats to patient safety in the OR include frequent door openings, clutter, poor air quality, surface contamination, and noise. Further, staff performance and satisfaction were impacted by factors such as the OR layout and equipment and furniture ergonomics. Conclusion: This literature review provides an overview of the research organized into design-focused topic areas to support decision-making by architects and designers. This article highlights gaps in the research and identifies areas where best practice and design assumptions need to be evaluated using rigorous design research.

2021 ◽  
pp. 174701612110540
Author(s):  
Laurel E Meyer ◽  
Lauren Porter ◽  
Meghan E Reilly ◽  
Caroline Johnson ◽  
Salman Safir ◽  
...  

Automated, wearable cameras can benefit health-related research by capturing accurate and objective information about individuals’ daily experiences. However, wearable cameras present unique privacy- and confidentiality-related risks due to the possibility of the images capturing identifying or sensitive information from participants and third parties. Although best practice guidelines for ethical research with wearable cameras have been published, limited information exists on the risks of studies using wearable cameras. The aim of this literature review was to survey risks related to using wearable cameras, and precautions taken to reduce those risks, as reported in empirical research. Forty-five publications, comprising 36 independent studies, were reviewed, and findings revealed that participants’ primary concerns with using wearable cameras included physical inconvenience and discomfort in certain situations (e.g. public settings). None of the studies reviewed reported any serious adverse events. Although it is possible that reported findings do not include all risks experienced by participants in research with wearable cameras, our findings suggest a low level of risk to participants. However, it is important that investigators adopt recommended precautions, which can promote autonomy and reduce risks, including participant discomfort.


Author(s):  
Michael P. Leimbach

The importance of learning transfer in ensuring that learning contributes to an organization's competitive advantage has been undermined in organizational practice. There are two major reasons for this: 1) few studies directly explore the relationship between transfer and performance improvement, and 2) most existing transfer models are too complex for practitioners to implement. The purpose of this chapter is to explore the link between learning transfer activities and performance outcomes, and to create a framework for implementing an effective learning transfer solution. A targeted literature review meta-analysis was used to explore the performance impact of training vs. training plus transfer activities. The authors compute “difference scores” representing the percentage of improvement from the transfer activities over training alone. Activities are categorized into a framework of eleven critical learning transfer actions. They then implement the elements of the Learning Transfer Framework in three demonstration projects. By incorporating findings from the literature review, meta-analysis, and the demonstration projects, the authors propose a new transfer framework that is effective and easy to implement. Implications and directions for future researchers are advanced.


2018 ◽  
Vol 20 (3) ◽  
pp. 225-239 ◽  
Author(s):  
Yinthe Feys ◽  
Antoinette Verhage ◽  
Dominique Boels

The method and results of a scoping review, based on the principles of a systematic literature review, on police accountability are presented with the aim of providing an overview of the characteristics of empirical research on the topic and the main themes covered in this research tradition. To our knowledge, no systematically conducted review has been undertaken although one could help to identify gaps in the (empirical) literature and give insights into the themes studied in this regard. Three main themes were discovered during the review; aside from police accountability as such, many studies related to police integrity or, to a lesser extent, historical facts concerning police accountability or integrity. Two of the most striking findings were the low number of empirical studies included in our thematic synthesis and the limited amount of methodological information reported in these publications. As such, the authors recommend more empirical research regarding police accountability and, more generally, sufficient methodological reporting when writing a publication.


Author(s):  
Khalil Rahi

Purpose This paper aims to explore the empirical literature on organizational resilience. The goal consists of identifying and understanding the indicators used to evaluate organizational resilience and instigating the development of indicators to assess resilience in other areas, such as project management and critical infrastructure. Design/methodology/approach A review of recent empirical studies is conducted to collect information on the indicators used to assess organizational resilience. Findings A range of interrelated indicators aiming to measure organizational resilience in two dimensions is shown in this literature review: awareness and adaptive capacity. Awareness is the ability of an organization to assess its environment and interpret the changes in its surroundings, both now and in the future, to be proactive and better manage possible disruptive events. On the other hand, adaptive capacity is the organization’s capacity to transform its structure, processes, culture, etc. for recovering once faced with a disruptive event. Awareness forms the main base of the organization’s adaptive capacity. Originality/value Organizational resilience contributes to the safe development of the built environment. This concept helps organizations to cope with disruptions. However, little research has been conducted on the indicators to assess organizational resilience, in different fields. Moreover, these indicators’ credibility is based on empirical studies.


2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 80-80
Author(s):  
Sophie Gloeeckler ◽  
◽  
Manuel Trachsel ◽  

"Advance care planning is an effort to consider and communicate one’s values, goals, and preferences as they relate to future healthcare decisions to guide clinicians and loved ones when one is incapable of consenting, refusing, or requesting care. While generally accepted as valuable, advance care planning has proven challenging to evaluate. Goal concordant care is increasingly recognized as the target outcome, but there is no agreed-on methodology for assessment and some question if it can be meaningfully captured. It is ethically necessary to have a strong evidence base to guide practice. The current study is a literature review designed to support best practice for measuring goal concordant care. A database search of Pubmed, Embase, PsycINFO, CINAHL, and Cochrane was conducted in September 2020; articles were included that measured whether advance care planning, defined broadly to consider advance directives, use of proxies, POLSTs, etc., led to goal concordant care. 132 included articles were reviewed according to aim, methodology, and integrity. Common approaches included medical record review 51% (n = 36); questionnaire (36%, n = 48), notably the Decision Conflict Scale (15% of questionnaires, n = 7); and interview (31%, n = 42), often with loved ones after death (40% of interviews, n = 17). Studies, especially those employing medical record review, did not always present enough detail to be reproducible, a concerning limitation. Despite the many existing studies aiming to track whether advance care planning leads to goal concordant care, significant work remains to establish sound methodology to do so meaningfully. "


2014 ◽  
Vol 11 (4) ◽  
pp. 439-446 ◽  
Author(s):  
Rainer Lueg ◽  
Pernille Julner

Proponents of the Balanced Scorecard (BSC) emphasize that the BSC translates strategy into action, but that Strategy Maps are a crucial mean to sustainable change. This literature review investigates how Strategy Maps are linked to strategic and organizational change. We aim at a better understanding of BSC implementations, gaps in practice, as well as remedies. Built upon the theoretical framework of Kaplan and Norton, we conduct a systematic literature review of initially 332 empirical studies between 1992 and 2013. We find that only 15 studies have dealt with the topic of Strategy Maps. Yet, BSC implementations that actually use Strategy Maps appear to be rather successful. Strategy Maps induce sustainable change, foster a better understanding of the BSC, facilitate evaluations of the external environment, create greater commitment, lower resistance, and are superior to a stand-alone BSC in communicating strategy. Nevertheless, we identify the common measure bias as a usual pitfall that leads to inappropriate evaluations of lower-level actors. We assert that BSC implementations need a Strategy Map to be successful. We also highlight that there has been only little research on the topic, and that present findings might be inconclusive due to the confined range of methodology (single-organization case studies).


Author(s):  
Nor Azizah Ahmad ◽  
Sulfeeza Mohd. Drus ◽  
Nur Azaliah Abu Bakar

<p>This article on Systematic Literature Review (SLR) provides the issues and challenges faced by organizations when adopting EA.  Firstly, a review of literature that discusses the problems and challenges was undertaken.  Methods and theories adopted were reviewed to identify the existing approach and perspective on resulting factors that influenced EA adoption.  Based on the inclusion and exclusion criteria defined in the review process, 16 articles were selected.  A total of 19 challenges and problems were identified such as EA misconceptions, overlapping organizational rules, unclear leadership as well as lack of business and IT alignment.  A sum of 15 factors from multidimensional contexts that influenced the EA adoption in the organization were also discussed, such as top management support, governance, communication as well as EA knowledge and skill.  This SLR also reflected that there were relatively little empirical studies conducted on EA adoption studies. The existing studies tend to apply single and multiple theories from the organization and management domains in one study.  By understanding such issues and challenges, risks can be reduced and avoided when introducing EA to organizations, and subsequently ease the deployment process. Thus, this article may shed light on understanding  the organizational-related factors and the underlying relationships of EA adoption. As a result, an effective adoption of EA can be facilitated in the organizations.</p>


2019 ◽  
Vol 34 (1) ◽  
pp. 73-97
Author(s):  
Lim Hyunjung

Coordination has been one of the major problems in the field of public administration (Pressman & Wildavsky, 1984; Peters 1998; Bouckaert, Peters, & Verhoest, 2010). However, as the complexity of policy problems increases and the policy environment changes, coordination is becoming more of a serious challenge to administration than ever before (Peters, 2018; Roberts, 2011). The failure of policy coordination can greatly undermine administrative capacity, so a serious approach to coordination is necessary not only theoretically but also practically. This study reviewed policy coordination theories and analyzed prior studies on current Korean policy coordination. In particular, I focused on the concepts, dimensions, mechanisms, and performance of policy coordination. What I found is that the number and variety of coordination studies in Korea is low. Most prior studies on coordination have focused on coordination between central ministries, and their methodology has primary taken the form of a literature review. Empirical studies on coordination performance have been few and far between. Based on these findings, I suggest several implications.


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